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Intensive Care Medicine

, Volume 44, Issue 6, pp 973–975 | Cite as

Are intensive care physicians aware of dysphagia? The MADICU survey results

  • Thomas MarianEmail author
  • Martin Dünser
  • Giuseppe Citerio
  • Andreas Koköfer
  • Rainer Dziewas
Letter

Dear Editor,

We would like to present and discuss the main results of “The Management of Dysphagia on Intensive Care Units (MADICU)” survey.

Critical illness dysphagia is a major risk factor for complications such as (aspiration) pneumonia, need for re-intubation, malnutrition and death in the intensive care unit (ICU) and is also related to a prolonged length of stay and increased healthcare expenditures [ 1, 2]. Although impaired swallowing resolves in many patients by hospital discharge and during subsequent follow-up, dysphagia persists in up to 25% of patients even 6 months later [ 3]. Contrasting its high incidence and impact on patient outcome, there are hardly any well-established strategies available for how to diagnose and treat this condition [ 4]. The MAD ICUstudy aimed to assess the knowledge of ICU physicians about critical illness dysphagia and to identify commonly used diagnostic and therapeutic modalities. Given that in the critically ill dysphagia is more prevalent in...

Notes

Acknowledgements

The MADICU survey team gratefully thanks all societies and all respondents for their support.

Compliance with ethical standards

Conflicts of interest

The authors declare that they have no conflict of interests.

Supplementary material

134_2018_5181_MOESM1_ESM.docx (71 kb)
Supplementary material 1 (DOCX 71 kb)

References

  1. 1.
    Schefold JC, Berger D, Zürcher P et al (2017) Dysphagia in mechanically ventilated ICU patients (DYnAMICS): a prospective observational trial. Crit Care Med 45:2061–2069.  https://doi.org/10.1097/CCM.0000000000002765 CrossRefPubMedGoogle Scholar
  2. 2.
    Schroeder JB, Glahn J, Dziewas R (2015) ICU-related dysphagia—epidemiology, pathophysiology, diagnostics and treatment. ICU Manag 15:108–111Google Scholar
  3. 3.
    Brodsky MB, Huang M, Shanholtz C et al (2017) Recovery from dysphagia symptoms after oral endotracheal intubation in acute respiratory distress syndrome survivors. A 5-year longitudinal study. Ann Am Thorac Soc 14:376–383.  https://doi.org/10.1513/AnnalsATS.201606-455OC CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Macht M, Wimbish T, Clark BJ et al (2012) Diagnosis and treatment of post-extubation dysphagia: results from a National Survey. J Crit Care 27:578–586.  https://doi.org/10.1016/j.jcrc.2012.07.016 CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Suntrup S, Marian T, Schröder JB et al (2015) Electrical pharyngeal stimulation for dysphagia treatment in tracheotomized stroke patients: a randomized controlled trial. Intensive Care Med 41:1629–1637.  https://doi.org/10.1007/s00134-015-3897-8 CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature and ESICM 2018

Authors and Affiliations

  1. 1.Department of NeurologyUniversity Hospital MünsterMünsterGermany
  2. 2.Department of Anesthesiology and Intensive Care Medicine, Kepler University ClinicJohannes Kepler University LinzLinzAustria
  3. 3.Neurointensive Care, San Gerardo Hospital, Azienda Socio Sanitaria Territoriale MonzaMonzaItaly
  4. 4.School of Medicine and SurgeryUniversity of Milan-BicoccaMilanItaly
  5. 5.Department of Anesthesiology, Perioperative Medicine and Intensive Care MedicineParacelsus Medical UniversitySalzburgAustria

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